Building the Beloved (Health) Community: Antiracism, Diversity, and Primary Care
Authors: Tonya Fancher, Olivia Campa
Journal: Annals of Internal Medicine (2023)

Editorials21 November 2023Building the Beloved (Health) Community: Antiracism, Diversity, and Primary CareTonya Fancher, MD, MPH, Olivia Campa, MDTonya Fancher, MD, MPHUniversity of California, Davis, School of Medicine, Sacramento, CaliforniaSearch for more papers by this author, Olivia Campa, MDUniversity of California, Davis, School of Medicine, Sacramento, CaliforniaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-2888 Annals Author Insight Video - Tonya Fancher, MD, MPH, and Olivia Campa, MD In this video, Tonya Fancher, MD, MPH, and Olivia Campa, MD, offer additional insight into the article, "Building the Beloved (Health) Community: Antiracism, Diversity, and Primary Care." (Duration 2:43) SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail When you see something that is not right, you must say something. You must do something … [E]ach generation must do its part to help what we called the Beloved Community. (1)—Congressman John LewisWe applaud Nguemeni Tiako and colleagues’ report (2) describing antiracism requirements in continuing medical education (CME) for medical licensure in the United States. Twelve states (California, Connecticut, Delaware, Illinois, Maryland, Massachusetts, Michigan, Nevada, New Jersey, Oregon, Rhode Island, and Washington) require antiracism training, and Washington, DC, has a partial requirement (2). All but one of these requirements were instituted after 2019 and the murder of George ...References1. Lewis J. Together, you can redeem the soul of our nation. New York Times. 30 July 2020:A23. Google Scholar2. Nguemeni Tiako MJ, Nobles A, Muhammad M, et al. U.S. state medical boards’ antiracism education requirements for physicians. Ann Intern Med. 2023;176:1680-1682. doi:10.7326/M23-1476 LinkGoogle Scholar3. Anderson N, Nguyen M, Marcotte K, et al. The long shadow: a historical perspective on racism in medical education. Acad Med. 2023. doi:10.1097/ACM.0000000000005253 CrossrefGoogle Scholar4. Dyrbye LN, Brushaber DE, West CP. US medical student plans to practice in underserved areas. JAMA. 2023;e2319521. doi:10.1001/jama.2023.19521 [37856116] CrossrefGoogle Scholar5. Meeks LM, Plegue M, Swenor BK, et al. The performance and trajectory of medical students with disabilities: results from a multisite, multicohort study. Acad Med. 2022;97:389-397. [PMID: 34817411] doi:10.1097/ACM.0000000000004510 CrossrefMedlineGoogle Scholar6. Snyder JE, Upton RD, Hassett TC, et al. Black representation in the primary care physician workforce and its association with population life expectancy and mortality rates in the US. JAMA Netw Open. 2023;6:e236687. [PMID: 37058307] doi:10.1001/jamanetworkopen.2023.6687 CrossrefMedlineGoogle Scholar7. Nguyen M, Fancher T, Boatright D. Attrition of indigenous medical students requires swift institutional response—reply. JAMA Intern Med. 2022;182:1330-1331. [PMID: 36315138] doi:10.1001/jamainternmed.2022.4936 CrossrefMedlineGoogle Scholar8. Talamantes E, Henderson MC, Fancher TL, et al. Closing the gap — making medical school admissions more equitable. N Engl J Med. 2019;380:803-805. [PMID: 30811906] doi:10.1056/NEJMp1808582 CrossrefMedlineGoogle Scholar9. Nguyen M, Desai MM, Fancher TL, et al. Temporal trends in childhood household income among applicants and matriculants to medical school and the likelihood of acceptance by income, 2014-2019. JAMA. 2023;329:1882-1884. [PMID: 37166785] doi:10.1001/jama.2023.5654 CrossrefMedlineGoogle Scholar10. Henderson MC, Fancher TL, Murin S. Holistic admissions at UC Davis—journey toward equity. JAMA. 2023;330:1037-1038. [PMID: 37578801] doi:10.1001/jama.2023.15872 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Tonya Fancher, MD, MPH; Olivia Campa, MDAffiliations: University of California, Davis, School of Medicine, Sacramento, CaliforniaAcknowledgment: The authors thank Mark Henderson, MD, and Ms. Ashley Holiday (Department of Internal Medicine, Division of General Internal Medicine, UC Davis); Hillary Campbell, MD (Kaiser Permanente Northern California); and Ms. Caitlyn Meltvedt for their thoughtful reviews of this article.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M23-2888.Corresponding Author: Tonya Fancher, MD, MPH, 4150 V Street, Patient Support Services Building Suite 2400, University of California Davis Health, Sacramento, CA 95817; e-mail, tlfancher@ucdavis.edu.This article was published at Annals.org on 21 November 2023. PreviousarticleNextarticle Advertisement Annals Author Insight Video - Tonya Fancher, MD, MPH, and Olivia Campa, MD In this video, Tonya Fancher, MD, MPH, and Olivia Campa, MD, offer additional insight into the article, "Building the Beloved (Health) Community: Antiracism, Diversity, and Primary Care." (Duration 2:43) FiguresReferencesRelatedDetailsSee AlsoU.S. State Medical Boards’ Antiracism Education Requirements for Physicians Max Jordan Nguemeni Tiako , Autumn Nobles , Muzzammil Muhammad , Marcella Nunez-Smith , Michael Barnett Metrics Current Issue December 2023Volume 176, Issue 12 Page: 1676-1677 Keywords Health equity Medical education Racial and ethnic issues Racism ePublished: 21 November 2023 Issue Published: December 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...